Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2021 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Published Date:06/01/2016
Printed Date: 9/22/2015
URL: http://palmgba.com/marlowe/redesign6/article.html
An overpayment occurs when funds have been paid to a provider in excess of the amount due and payable by Medicare.
Overpayments are either communicated to the provider by Palmetto GBA with the use of a Demand Letter or self-reported by the provider. To be in compliance with Medicare policies for reporting and repaying overpayments, selecting the appropriate repayment method for each situation is critical.
The CMS guidelines governing these processes can be found on the CMS website under:
Things to Consider When Determining Payment Method
Form and Payment Submission Is the overpayment MSP or Non MSP related? Has a demand letter been issued or is the overpayment being voluntarily sent in to Palmetto GBA? The answer to these will determine which form, if necessary, should be completed and sent.
For provider convenience, payment and contact/address information (where to send form) is included on each applicable form. Palmetto GBA strongly recommends using Palmetto GBA’s eServices portal whenever possible. Providers can electronically submit payments and other requests along with PDF attachments online. For more information, please review the Financial Tools Section in the eServices User Manual (PDF, 7.79 MB)
Palmetto GBA is committed to helping providers understand the options available to them when an overpayment situation occurs. For more information and the options available to you, please select the link below that best fits your situation.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 3/01/2021